@article{Jaiswal_Pandit_Adhikary_2019, title={Outcomes of Ligation without Revascularization in Pseudoaneurysms of Peripheral Arteries in Intravenous Drug Users}, volume={57}, url={http://jnma.com.np/jnma/index.php/jnma/article/view/4472}, DOI={10.31729/jnma.4472}, abstractNote={<p><strong>Introduction</strong>: Management of pseudoaneurysms in intravenous drug users is complex and<br>challenging due to an associated infection and unavailability of autologous vein grafts. Here we<br>observe the outcomes of ligation and local debridement as a primary modality of treatment in this<br>subset of patients with pseudoaneurysms.</p> <p><br><strong>Methods</strong>: This is a descriptive cross sectional study of 15patients over a period of 4 years who<br>presented with pseudoaneurysm of peripheral artery from intravenous drug use. In this study,<br>we describe the presentations and management outcomes in 15 patients with peripheral arterial<br>pseudoaneurysmfrom IV drug use.</p> <p><br><strong>Results</strong>: The most common site involved was common femoral artery among 12 (80%) patients<br>followed by superficial femoral artery among 8 (13.3%) patients and external iliac artery in 1 (6.7%)<br>patient. Twelve (80%) patients were having signs of infection. All patients underwent surgical<br>intervention which comprised of excision of pseudoaneurysm and ligation of artery without<br>revascularization among 12 (80%) patients and with revascularization with autologous venous graft<br>among 3 (20%) patients. There was no mortality or a major bleeding requiring re-exploration. None<br>of the patients developed limb ischemia necessitating amputation.One patient with femoral artery<br>ligation without revascularization at one year of follow up is having claudication on brisk walking.<br>There was one saphenous vein graft thrombosis in immediate postoperative period.</p> <p><br><strong>Conclusions</strong>: With the use of ligation without revascularization technique, there was no mortality or<br>major bleeding requiring re-exploration. None of the patients developed limb ischemia necessitating<br>amputation so this treatment modality seems promising in treatment of pseudoaneurysms in<br>intravenous drug users.</p>}, number={217}, journal={Journal of Nepal Medical Association}, author={Jaiswal, Lokesh Shekher and Pandit, Narendra and Adhikary, Shailesh}, year={2019}, month={Jun.} }